NPI | 1497060735 |
---|---|
Former Name | KATIE NICOLE BENTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31005177A) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31000124A) |
225X00000X Occupational Therapist (Licence: WI 4841026) | |
Enumeration Date | 2010-08-11 |
Last Update Date | 2023-09-25 |